| Doctor Name: | MALINDA PAUL |
| NPI Number: | 1053752477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC-S |
| License Number: | E.0501355-SUPV |
| Business Practice Address: | 8559 S Mason Montgomery Rd Mason, OH - 450409381 |
| Business Phone Number: | 5132298980 |
| Business Fax Number: | 5132298935 |
| Mailing Address: | 8559 S Mason Montgomery Rd, MASON |
| State: | OH |
| Postal Code: | 450409381 |
| Phone Number: | 5132298980 |
| Fax Number: | 5132298935 |
| NPI Enumeration Date: | 07/14/2013 |
| NPI Last Update Date: | 07/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.0501355-SUPV |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |